Organization
KOUKA KIDS SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L KOUKA MA, CCC-SLP (PRESIDENT)
(317) 460-2384
Entity
Organization
Contact information
Practice address
4 SHADY LN, CARMEL, IN 46032-2050
(317) 460-2384
(317) 660-2151
Mailing address
4 SHADY LN, CARMEL, IN 46032-2050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004115A
IN
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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